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Disclosures

Housing Counseling and Education Services Disclosure

Please read the following statements carefully. For simplification the singular is used even when the plural may apply.

I understand that the purpose of the home ownership assessment, counseling and education programs offered by Consumer Credit Counseling Service of the Black Hills (CCCS) is to counsel and/or provide information to me regarding qualifying for a home mortgage and about the home purchase and financing process. I understand that CCCS may make recommendations to me regarding lenders or programs, which may suit my individual needs.

I understand that CCCS is not an agent for any lender. I understand that even if CCCS believes I may not qualify for a loan, I have the right to submit an application to any lender.

I understand that completion of CCCS home ownership assessment, counseling, and education programs does not guarantee that a lender will approve any loan application submitted by me to a lender.

I also understand that completion of CCCS home ownership assessment, counseling, and education programs, and CCCS referral to a lender is not a commitment by the lender to make me a loan. I understand that only the lender can make such a commitment after receipt of a loan application completed by me.

I understand that CCCS receives funding from various sources including HUD grants, Debt Management revenue, the United Way, Creditor Fair Share and community support.

I understand that CCCS provides various types of services including: financial assessments, a Debt Management Program, bankruptcy counseling and education, various financial literacy courses, and housing counseling and education to include: financial management/budget counseling, home improvement and rehabilitation counseling, mortgage delinquency and default resolution counseling, pre-purchase counseling, rental counseling, services for homeless counseling, pre-purchase homebuyer education, financial, budgeting, and credit education workshops, fair housing pre-purchase education, and predatory lending education.

I understand that if I choose to enroll onto a Debt Management Program (“DMP”) with CCCS and Navicore Solutions (collectively, the “Agencies”), that there are fees for this service:

South Dakota and Wyoming Residents:
CCCS charges a one-time setup fee between $50 and $95, which is determined using a sliding scale based on the client’s monthly gross household income and family size. Once enrolled on the DMP, Navicore Solutions charges a monthly fee of up to $60.

North Dakota Residents:
CCCS charges a one-time setup fee of up to $50. Once enrolled on the DMP, Navicore Solutions charges a fee of the lesser of 15% of the client’s payment to creditors, or $60.

Nebraska Residents:
CCCS charges a one-time setup fee of $25 that will be credited to your total fees charged. Once enrolled onto the DMP, Navicore Solutions charges the lesser of 15% of the client debt agreed to be paid or $60.00, amortized over the life of the plan.

I understand that I am not obligated to receive, purchase, or utilize any other services offered by the Agencies, or its exclusive partners in order to receive housing counseling services.

I understand that while the Agencies may partner with many other organizations, they have no business practices or partnerships that would constitute a conflict of interest. The Agencies each have Conflict of Interest Policies.

I understand that both Agencies are incorporated as non-profit 501 (c) (3) organizations and are each are governed independently by separate volunteer Boards of Directors. The Agencies’ services are not for the private benefit/interest of their Board, staff, or consultants. The Agencies have policies in place that prohibit the practice of steering or directing referrals of applicants or clients to a private practice in which Agency personnel, consultants, or immediate family members of personnel and consultants may be engaged.

I understand that the Agencies each have Business and Professional Ethics Policy. All personnel know and abide by the Code of Ethics that is posted in every office.

I understand that both Agencies have a Quality Control Plan and Quality Improvement Policies and Procedures for identifying, addressing, and mitigating any conflicts of interest and complying with HUD requirements.

I understand that in the event I am dissatisfied with any of the Agencies’ services I can utilize the Complaint Resolution Process.

At some time in the future, my information may be used for confidential research, quality assurance/training purposes, and/or HUD or a neutral third party may contact me to request and evaluation of the Agencies’ services.

 

HUD Home Inspection Handout

Client Rights and Responsibilities

Statement of Counseling Services

Please read the following statements carefully so that you will understand the procedures for the counseling session. Check the line next to each statement to indicate understanding of that provision.

I understand that Consumer Credit Counseling Service of the Black Hills (CCCS/BH) will provide a one-on-one confidential comprehensive personal money management interview conducted by a certified consumer credit counselor or qualified professional counselor.

I understand there is no charge for housing or financial counseling due to HUD, United Way, and community support. CCCS/BH and Navicore Solutions’ funding comes from a variety of sources: HUD, United Way, grants, donations, set-up fees, monthly administrative fees, and fair share/grants from creditors who participate in the Debt Management Program (DMP). I understand that in the event I am dissatisfied I can utilize the Complaint Resolution Process.

I understand that CCCS/BH may access my credit report information from Experian if deemed necessary to complete the financial counseling session. A written credit report will not be provided. A “soft” inquiry will appear on my credit report. I agree that CCCS/BH is not responsible for the accuracy of the information on my credit report and my credit report may not be a complete listing of what I owe. I agree to provide CCCS/BH with a copy of my Driver’s License.

I understand my participation in a debt repayment program may change information which is already on my credit report. If my credit report reflects that I have paid creditors as agreed in the past, a Debt Management Program could have a negative impact on a creditworthiness decision by a potential creditor, landlord, or employer in the future.

I understand that a Debt Management Program (DMP) is not suitable for all clients, therefore a full array of options will be discussed. I will be given a written action plan, which will be based on the following options: I will handle any financial concerns on my own, I may choose to enroll in the Agency’s DMP, I will be referred to other services of the organization or another agency as appropriate. I should also be aware that debts to creditors I repay through the plan may be able to be discharged through bankruptcy. Counselors cannot provide legal advice.

I understand that if I choose to file for Bankruptcy it will have a negative effect on my credit report and credit score. A bankruptcy is a matter of public record and will be reported in the public record section of my credit report.

I understand that I may choose to enroll in the Agency’s Debt Management Program, however; the receipt of counseling services does not automatically guarantee participation in a DMP. In addition, creditors may report that I am on a DMP and am not paying as originally agreed even though they have accepted the reduced payment.

I understand that the creditor fair share funding comes from voluntary contributions from creditors who participate in a Debt Management Programs (DMP). Since creditors have a financial interest in getting paid, some are willing to make a contribution to help fund the Agency. These contributions are usually calculated as a percentage of payments I make through my DMP. Contributions from creditors range from 0% to 15% or are given as a grant. However, my accounts will always be credited with 100% of the amount I pay my creditors through the DMP and efforts are made to work with all creditors are regardless of whether they contribute to the Agency.

I understand that DMPs are used for unsecured debt and can be used for secured debt only in very rare instances.

I further understand that if I choose to go forward with a DMP that I am granting CCCS and Navicore Solutions permission to contact my creditors to verify obligations and to negotiate adjustments and payments schedules. The DMP includes the development of a payment schedule and a reduced budget for the repayment period.

I understand that a DMP serves a dual role in helping me, the client, repay my debts and helping the creditors receive the money owed to them.

At some time in the future, my information may be used for confidential research, quality assurance/training purposes, and/or a neutral third party may contact me to request an evaluation of the Agency’s services.

View your Bill of Rights and Privacy Policy here

Product Enrollment and HUD Demographics Form

As an organization receiving federal funds from HUD, we are required to collect the following demographic information about participants in our programs.

*All fields must be filled out to submit the enrollment form.

I understand that CCCS/BH receives federal funds through Housing and Urban Development (HUD) and is required to collect demographic information about program participants and to share some of my personal information with HUD program administrators or their agents for purposes of program monitoring, compliance and evaluation.

I have read and understand my rights and responsibilities according to the Client Rights and Responsibilities documentation I downloaded. I also understand that I can review this information by scrolling to the bottom of this website and clicking on the Privacy Policy link.

I understand that my information may also be used for confidential research, quality assurance/training purposes, and/or a neutral third party may contact me to request an evaluation of the organization’s services.

*All fields must be filled out to submit the enrollment form.